Kenyatta Nicole Wilson is a Vicksburg, Mississippi based nurse practitioner with 20 years of experience in Family. She completed her graduation in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenyatta Nicole Wilson is R871546 for Family in Mississippi. Her current practice location is 2200 Highway 61 N, Vicksburg. Patients can reach her at 601-883-3340. Kenyatta Nicole Wilson is NP-C with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1457633034. Kenyatta Nicole Wilson delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Kenyatta Nicole Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kenyatta Nicole Wilson
Specialization:
Family Nurse Practitioner (FNP)
Gender:
Female
Credentials:
NP-C
Experience:
20+ years
Medical School Attended:
Other
Graduation Year:
2005
Accepts Medicare Assignment:
Yes
Practice Address:
2200 Highway 61 N, Vicksburg, Mississippi, 39183-8246
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5799943106
Enrollment ID:
I20120214000728
NPI Number:
1457633034
NPI Enumeration Date:
09 Sep, 2011
NPI Last Update On:
29 May, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenyatta Nicole Wilson are as mentioned below.
License Number
Specialization
State
Status
R871546
Family
Mississippi
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kenyatta Nicole Wilson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Fitness Clinic Wellness (4486938719)
7
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kenyatta Nicole Wilson 2200 Highway 61 N, Vicksburg, Mississippi
Zip:
39183-8246
Phone Number:
601-529-1445
Patients can reach Kenyatta Nicole Wilson at 2200 Highway 61 N, Vicksburg, Mississippi or can call to book an appointment on 601-883-3340.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.